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1467 Blackhawk Lake DrCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1467 Blackhawk Lake Dr Lot: 11 Block: 2 Addition: Blackhawk Ridge PID:10- 14400 - 110 -02 Use: Description: Sub Type: e- Reroof Work Type: Repair Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Tyther Contracting 10159 James Avenue NE Otsego MN 55362 (763) 295 -3000 PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: on prior to final, you must meet inspector with ladder and flat bar. Pictures are not Owner: Allen D Peterson 1467 Blackhawk Lake Dr Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 $90.00 Building EA081292 11/29/2007 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature _ Il'?SPECTICl?1'? ?CO ? ? ? ` Ci? oF EAGAN 3830 PUert Knob Road Eagan, Minnesota 55123 Ueft Wo (612) 681-4675 S1TE ADDRESS: LdT: Ii 144. APP1.1?"?'? ? , ?' ? •?? ??(? 2 F??? ????OMW OkCACKNAiJK RIfliE PER#?j-%I?TYPE: TYPEOFvVOM, . ti ?n . . .. . _. ._.,_. _.. .._ ..... :i , wY _N 3Y F 3 4 ZN"l#7'tAM ? ? ` t: Iff-#OisA w7 I PIV s u F¢T??04p,m S! lot ? LO# . Poiwdt No. iwmdt Fioldek esls • $dW . ? i 'fWv.- ? PWO Pft . Ind, . ? f, , ? ? . .,?.r , ?? PAp ?'O?l .Ss?. ° .,? :' 1?? .?i? ! ? OrN1A Tast Pbo- b%PaAw -Nobpkwtw conot. Metsr EnW~ Bldp. Flnel . Doak ft Dscic Finat VYlril PG DIBp. ? . . . ,., , . _: - . _ INSPECTION RE, C CITY dF EAGAN . PERMrT TYPE: Ou t L n xN(., 3830 Pilot Knab Road ,: . Permit Nufter: 02b 1. 0 t Eagan, Minnesota 55123 .bate Imued: ; (612) 681-4fi75 SITE ADDRESS: r Or: 1. t? i ci t t. : ,• AP'P OCANT: ' 1-4 41 E41 a14.41nWK. iAr;f DO . Ilk: rf "";Oa A L L. f:a Ft lA(. F• tlA (40I? t l)rif- t;8 b -fi4 6 H PEI?AAIT SUBTYPE: TYPE OF WORK: ? (? i', h, . N t: W 0 tll 1 NW. I I IFlNI#1 ? Ponrlit Mo. /Wa11t laelipt IAHi! • TsIspllerN # SM! . P7.€MSM , 1'IWO ' '?+CTtal? bu}aedon Da1a Iew ' CWnmuft ?r - Foundaftn pAd" • ftugh P1110.1- Rough tMQ. . 1BU. - Rroplaw .. FIAa1 H1y. Omd7bst Rrrel Plbg. Pft trapwW - FlotlY Pltasiber Oonet. Meter Engr~ Bldp. Fmel oeck Ftg. Deck Final ?7 ? ? .?•.* • Well Pr. Disp. N70168 ? qg?58 ?ao ? ReQuest Date 3_ Fire No. Rou - .. e n Re Ve" (You must call inspect hen ready) ? Yes N. Inspection Other Than Rouph•In El Ready Now R!E? Wiil NoU1y InsDecror Date Read I nsed contractor A owner hereby request inspection of above electrical work at: Job Address (Stree x or Route( ? Ciry C?»\ C', ` SeMion No. Township Name or No. Range No. Coun ? ,`•/?? ? ?? Occu ant(PRINT) ?"F? l tJI JY ??. Phone No. J u (:> t lY - W ? Power Supplier (__ F? - - Address f *urt Electricai Contractor ICompany Namel Contracror5 License No. Mailing Adqress (Contractor or Owner Maaing Installatwn) 3 Authonzed Signature ICq tr ctor'Owner Making InStal n! ? ry.- J-4 Phone.Nuyper ! \ C f? ?{ ? ? -? `? •? ? t .! MINNESOTA S ATE BOARD OF El.ECTHICITY V THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-773 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REGIUEST FOR ELECTRICA i IOIV ?e6-oo?,-o /?ry/? " f?0f ?? ? See instructions 4or completing this fo _?iow copy. F"'?. ??( N 70168 "X" 8edow Wo 6y This Request ?? ' ew Add Rep TypeofBuilding AppliancesWired EquipmentWired, )G Home Rangs Temporary Service i Duplex Water Meater EEeL•tric Heating Apt. Building Dryer Load Manegement Comm.llndustrial Furnace Other (Specify) Farm Air Conditioner Other (specity) Contr ctor's Remarks?. ? ??a?, Q u.a?ClZ? Raca.v?tl 5.¢t?a?? . Campute Inspectibn Fee Below: ??? # Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps D to 100 Amps Transformers Above 200 Amps Above 100 Amps 8ign5 inspaceor's Use Only; T Irrigation Booms a Special Inspection ?, 'AlarmlCommunication TMIS I?ESTALLATION MAY BE O DISCONNECTEI] IF NOT j Other Fee ?N7HS. GO?u1PLETE[3 WfTHIN 18 1 I, the Electrical Inspector, hereby Raugh•in Date certify that the above inspection has been made. ?;,,ai oace -• - OFFICE USE ONLY `- ThiS request voitl 18 monlhs from ?.,. Wvrtificate nf ccrupanc? ctuv of Coasom This Certificate issued pursuant to the requireinents of the Unifor?n Building Code certifyisg that ai the time of issuance this structure was in compliance with the various onrlinances of the Ciry regrrlating building construction or use. For the following: use Classiflcabon: SF M swg. Pamit IVo. 1777 pn/p Oocup-y lype RXMI 7ming Dishia Type Const. VN Owcer o? Buildingi?? W?? ?S M Ad?ss 3 1??2 ? C?. , ?? ? s ?? ? 1467 ?AC1diAWiC T?AKE DLiVE ???? L 11, B2, B?.AQ?lAG9 RIDC? ? ? -? n¦re: sWxing o cW 02/04/q3 POST IN A CONSPICUOUS PLACE Address 1467 BLACKHawtt LAKE D?uvE Zip 5512 2 Lot' I ' ji Blk 2 Sub THESE I'TEMS WERE / WERE NOT COMPLETE AT THE TIME O THE FINAL INSPECT'ION. ? Date: 02/04/93 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas 5odJSeeded grass Trail/curb damage Porch ?/ -3 ? a?? Basement finish ? Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy K542B9 Request Date (? - Fire No. Rough-in Inspection RAquired? ? Ready Now I„ ify NotR ! d ? _r ? - Np en ea y 1 n d contractor D owner hereby request inspection of above electrical work at: Job A r tre . Box or Ro Section No Township Name or NO. Range No. Co Occupant (PRINT) 4 o Phone No. 0, qss(? rkzs Power Supp C_ Adtlre ss Q Y" M i(1 "-lb r EleMrical Contractor ICompany Namel CLicense No. Mad,ng Aetlr ss ontractor or Owner Making Inst tion) 4?R Aulhonze re rContractor'Owner Making?tjon) , ? Phone?% r MINNESOTA T4Ave., BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Mid ay . - Room &173 BE ACCEPTED BY THE STATE BOARD 1821 Univer St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(672)842-0800 ENCLOSED. 11? REQUEST FOR ELECTRICAL INSPECTION /ee-ooom-oe? for completing this form on back of yellow copy. ???? t K 5 42 89 • See 73cons 8elorv bYoifc Covered by This Request e Add Rep` Type of Building AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Speoify) Comm./lndustrial Furnace Farm Air Conditioner Olher (specity) ContreCtork Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps a IS 0 to 100 Amps p`JO Transformers Above 200 Amps Above 100 Amps Si9n5 Inspector's Use Onty: ?J ? TOTAL Irrigation Booms 70? I ?8 - Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 NQNTHS. I, the Electrical Inspector, hereby Rough-in ? certify that the above inspection has been made. Finel ?• •- -` oaee OFFICE USE ONLY 61c?;, LZThis request void 18 months from " ?? ?ri y y?-- iD 8'SS/ 0 fl 5 5,? ir 6.2 Request Date Fire No. Rough•in Inspection Required? Ready Now Ll Will Noti(y Inspector NO V, 17,19 92 X Yes C7 No When Ready? 150 licensed contractor ] owner hereby request inspection of above electrical work at: Job Atldress (Street. Box or Route No.) City 1467 Blackhawk Lake Drive Ea an Sedwn No. Township Name or No. Range No. County Dakota Occupant(PRINT) Phone No. No€thern Classic Homes 440-7150 Power Supplier Address Dakota Power 4300 220th Farmington,55024 Eiectrical Contractor (Company Name) Contractor's License No. Sky Electric Inc. I CAO 1982 Maihng Adtlress (Contrgctor or Owner Makmg InStallati0n) 11210 Washburn Ave. So. Bloom. Mn. 55431 A!Ihortz 'gn re IConh r/Owner Making latio Phone Number 888-1736 MINNE50TA STATE 80ARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bidg. - Room 5-173 BE ACCEPTEO BY THE STATE BOARD 1821 UniversKy Ave.. St. Paui. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. /0 9???-- REQUEST FOR ELECTRICAL INSPECTION J r re O??? See instructions tor completing this form on back of yeliow copy. ?.. J 5 "X" Below Work Covered by This Request ew Add Rep. TypeofBuilding AppliancesWired X Home X Range Dupiex Water Heater Apt. Building Dryer Comm.llndustrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute lnspection Fee Below: °`'?`% es-ooooi-oa t x:q S5 Sf Temporary Service Electric Heating Other (Specify) # Other Fee # Service Entrance Size Fee # CirCUits/Feeders Fee Swimming Pool _ ]. 0 to 200 Amps 18 22 0 to 100 Amps Transtormers Above 200 Amps Above 100 Amps S19f1S Inspector§ use Only* `_ _. ? T'OTAL Irrigation Booms Qo$ 106.50 Special Inspection Alarm/Communication THIS INSTALLATION M ^R F E DI CONNECTED IF NOT Other Fee RESIDENTIAL BUILDING PERMlT APPLICATI4N CiTY OF EAGAN 3830 PILOT KNOB RD, EAGAN MW 55122 651-681-4675 Naw Construction Reaulremenis • S regislered sfle surveys showing sq. ft. of lot, sq. fi. of house; and all roafed areas (* maximum bt coverage alrowed) • 2 coples o1 plan shawing beam & windaw sizes; pou€ed found dasign, efc.) + 1 set of Energy Calculatlons • S copies ot Tree Preservation Plan ii lot platted atter 7/1 193 • Rim doist Detail Options salecHon sheet (bklgs with 3 or less unhs) DATE ? Phrana 31TE ADDRESS (?f?j . rQf'8h,21i_L LOt-e MULn-FAMILY BLDG _Y )(N TYPE OF WORK ' ' FIREPLACE(S) - 0_,. 1? 2 APPLICANT STREET ADDRESS TELEPHONE # j2S1 --129- QqC_&L.L e- A7It MGl'tY?'Ljd&LSTATE_)?!P;?L # 01D-q1 C1- Q1S5 FAX # lASI-1-74-?CQ PROPERTY OWNER ab_n TELEPHONE # CACp - CU qCd C4MPLETE THIS SECTION FOR "MW_" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESO'I'A RUI.FS 7670 CAITGORY 1 MINNESOTA RULES 7672 (4 submission type) • Res9dential Ventiiatian Category 1 Worksheet Submitted • New Energy Code WarkBheet Submitted • Energy Envelope Calculations 5ubmitted Plumbing Conhactor: ?_ Plumbing system includes: Mechanical Contractor: 1'Vlechanical system includes: SewedWater Conhacfor: Air Conditioning Heat Recovery System l 7 l, I ? '??lr;'-?u?•??l i. C^ T 2 9 2002 'J Phone # I hereby acknowledge that I have read this applicatian, state fihat tf7e infarmation is correet, and agree to comply with all applicable State of Minnesota Stafiutes and City of Eagan Qrdinances, Signaiure of Applicarrt OFFICE USE ONLY Water Softener _ _ Water Heater _ No. of Baths VALUATIflN ? ?..?? RemodeYRe alr R,a? ubm" • 2 copies af plan • 1 set of Energy Calculaians tor heaied atldttlom • 1 site sun,ey for exlerior additions & decks • Indicate if hame serveti by septic Systsm tOr addMbns _ Phane # Lawn Sprinl No. of R.I. ] Certificates of Survey Received - Tree Preservation Plan Reeeived _ Not Required _ LJpdated 4/02 4FFICE USE ONLY ? 01 Foundation 0 02 SF Dwelling ? 43 01 of _ plax ? 04 02•plex 0 05 03-plex ? 06 04-plex ? 07 05-plex 13 13 16-plex ? 0$ OB-plax O 16 Fireplace 0 09 07-plex 0 17 Garage O 10 08-plex ? 1$ peck O 11 10-plex ? 19 Lower Level 0 12 12-plex Plbg_Y ar - IV ? 20 Pool ? 21 Porch (3-sea.) 0 22 Porch/Addn. (4sea.) C] 23 Parch (screened) 13 24 Storm Damage E3 25 Miscehaneous CJ 30 Accesscxy 81dg ? 31 Ext. Alt - Multi ? 33 Ext. Ait - SF 0 36 Multi O 31 New 0 35 Int Improvement 0 38 Demalish {Interior} 0 44 Siding 17 32 Addition 0 36 Mave 81dg. 0 42 [)emolish (Foundatian) 0 45 Fire Repair ? 33 Alteration O 87 Demolish (Bldg)" 13 43 Reroof 0 46 Windows/Doors 0 34 Replaeement *Demolition (Errtiro Bldg only) - Give P'CA handout to applicant VaEuatian Qccupancy MC/ES System Census Code 2oning City Water SAC Units Stories - Boostter Pump Nbr. of Units Sq. Ft. PRV Nbr. af Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Faotings (addition) ? Plumbing Foundation HVAC Drain Tile C)ther Roof _____ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Fina1 _ Frwning _ Siding Stueco Stone _ Fireplace _ R.I. _ Air Teat _ Final Windows (naw/replaceraent) _ Insularian ? _ Retaining Wa11 Approved By , Building lnspector - - ------------ - ------ - - - - --- - - -- - ---- - ------ - - ------- - ----- - ---- Bese Fee Surcharge P[an Revlew MC/ES SAC city sac Water Supply & Storage S&W Permit & Sureharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Totsl 'y CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: Control No. 12 8 6 i) +.. , . SITE ADDRESS: i. ?'?. ?;? :? r? I r''? i: I: ?•i 116?.?,? I ?''?'. ? ii i:' DESCRIPTIt7N: k 13L!1 1 d 7.i1(7 ('<?i.III_t i. i •y'r) ,.- 81.! L_t_ d i_ 1"1 g I,.I ii Hr. I yI?i „ U8 t:; t)ewc:taraan c?r i C) i'1 S i"1 i? ('u:%.LCi:i?"iC,? Bi,.a i. J_ ci :i. nq W i dt: h V- - H ?' l7 i f L . i: REMARKS: i;J C?"?i%'1"t1;P,?? , FEE SUMMARY: 0 r.i ,. 0 -n 0 ? u, rc A C. J t i ?.y. ,J ^ 0 5 ? ?11 E1. I_nniE (JU$1 f?11.1?. ?:,{;;l j CC?NTRACTOR: -- OWNER: ]R TiIF?'?',N. C;Lf-1SS?IC f- ll:)m F :? 1 _?dn0 7:1.1",0 Nf)R1`HrR IV Ct_flS `, .f.C fiOI'+1E 1-3 7:N U ? I `_ f: U S I' ,? A K. N b:?... 7 4. T r»v-ctby rscknrwlp€ige that Ch<:zti??=? t.:hzs app1ic:,?tion anc1 stare t:hat Lhtia i,nfnt•rnari_ori is correct; ar7e} aqrec; to ccrmpl.y wxth a1.1 applicab1e St;at:: ot MI°io artd G'it,y of FacIan 0r,din,ar7c;c-?;o , zzle44' APPLIC E EE I NATURE ISSUED B.: SI NATURE Control INSPECTION REC4RD I No. CITY OF EAGAN PERMIT TYPE: ?? ???i!:? 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date issued: (612) 681-4675 SITE ADDRESS: APPLICANT: I._ ?D l. .. t J. 1I 10 C: ; . i: i. ?{,;!,,J '<: i -, i<, 0;?t i%l U F: 'I H L R I'd G L. R1C H u f+i C.`? iWi? ; I?LIC.''-. 11 ()?-f;7_:-;0 PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D• ON TYPE DA ;?: i`' '?? l; L,r.•; i L(? ?? r T Fi I.. -,"F'!. A C}- I I,•,I r, ' i f,l 1 i) ft F' ? PERMIT # REACTIYATE _ lfigiol CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COhNNERCIAI 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in whlch re uest is made or lot chan e is re uested once ermit is issued. Date Yal uat i on of work Site Address:ILIG7 BLACKHAwk L.AKE bg1VE STREET SUITE 0 Tenant Name: (commercial only) LOT BLOCK 2.- SUBD.. ?4 t? ' ?? z , ?F P. I. D. . -GV % ,OG Oescri tion of work: The appl i cant i s: D Owner ? Contractor ? Other (oeacrtbe) Name ,v?2??'?.• ?^??--K ??rr ??? Phorie Property L,?ST FIRST Owner Address .7i?- Z go STREET STE ? C i ty State ,?N' Z j P ??"3 72- Company _ 5Am,,,: 4-q 44vvi Phone Contractor Address License # oLv2/H Exp. -1 City State Zip Company ;44- C ".-4?s ?frc?r/'j ?fs??? Phone ?.3z 90 Architect/ ? Engineer Name Registration # Address City State Zip Sewer & water 19censed plumber Processing time for sewer & water permits 1s two days once area as een approve . • I hereby acknowledge that I haVe re this application and state that the information is correct and agree to comply with 41/1 applicable State of Minnesota Statutes and City of Eagan Ordinances. Si t f A l gna ure o pp icant: OFFICE USE ONLY BUILDING PERMIT TYPE ? Ol Foundation Ye02 SF Dwg. ? 03 SF Addition ? 04 SF Porch O 05 SF Misc. ? 06 Duplex O 07 4-Plex ? 08 8-Plex ? 09 12-Plex O 10 Multi. Add'1. WORK TYPE W31 New O 32 Addition ? 33 Alterations O 34 Repair GENERAL INFORMATI4N , , . , ? 11 Apt./Lodging ? ?s B? emi?nt Finish O 12 Multi. Misc. ? 17 Swim Pool ? 13 Garage/Accessory 0 IS Conan./Ind. ? 14 Fireplace O 19 Comm./Ind. Misc. 0 15 Deck El 20 Public Facility O 21 Miscellaneous ? 35 Tenant Finish ? 36 Move Const. (Actual) V- N Basement sq. ft. SAllowable) v- N lst F1. sq. ft. UBC ccupancy R-3 M-I 2nd F1. sq. ft. Zoning P D R_1 5q. Ft. total # of Stories Footprint Sq. ft. Length _3?7 On-site well Depth 52/ On-site sewage APPROVALS Planning Building Engineering Variance REQUIRED INSPECTIONS O Site ? Wallboard ? Footing O Final 0 Framing O Draintile D Insulation ? Fireplace Permit Fee Surcharge Plan Review License Mwcc sac c i ty sac Water Conn. Water Meter Acct. Deposit 5/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: _ SAC 96 SAC Units I vetunt;«n: g I 0y, O0,-> '. GAf2AGE'3ok (14 ft) ?st?T; ??k34'732 33(, .2? 1ST ?LO?: 12 4(v )e 19 =- 19, 69 ? 6SMT;= 12?1 {? ?xI = 7 ?'??1??3'?2 ? ? ?''2 x 2 2. t3obxs3 S Gkaza AbeuA I%-I ?c )1= 154 X - Gq, IZ) s 1c)yr) 0 D 37 Demolish MWCC System -Ycs,. City Water r=S PRV Required Booster Pump Fire Sprinkler Census Code /o/ SAC Code 01 Assessments ? . NOV-W-'92 FRI 14:43 In:JfM5 R H1LL llNC TEL ra0:612 69e-6244 #97e P02 . . SURVEYOR'S CERTIFIGATE t v NQRTHERN CLASSI C HOMES 8 L_ ,?k ? ?3? '? ? 0 i5-z 0 ??0 ? . `` e t6' Qa -- l? 1 ra it r i x 864.7 a ? W :a fiEV1UD KausE LOcatinM It-"t r ? ? 06??' • ?c???r I° o Ut•?pkp'? A ? i? ? z864.5 ?? ? •` ` ' s C? ? ? ? f xe ? p ? ?. ?0 ?q? 86a7? 30 ' 00 r . ? o ? , 6T6 : , _? ?9 M ? t6., a' '? . ? 0 ? ?..L,,,.. ? ..-._.?_.... ., ?t??,?•? ? ' f a ? 80.0$ tr! s!PA _ BLACK HAW K BENCH MARK T4P OF PIPE Et.EV.- 888.1$ ?? • ? . Q 4 p Q x .8 E?A ? 10.1 ? 30 ?? •' ? S_75°_28'9A" W 6 4 1 7- M riwi e reuffm - - ? e7.9 RI DG E COURT NOT4= NO 9PF3CFIC SOIL3 Il+iVVEST?iATION HA4 8?T1 COIAPl.?TED ! ES QN Rl1l 1JOf 8Y TFfE StJRVETOit. TIE StliTAYILFTY Of $01L5 TO SIJPfaORT*TFIC lPQCIfK HGtINE PMr'OWD IS NCR t'!iE INWOIOSI.RY OF THE SURVEYd! d*------- DENQTF-S PAOPOSED SURFACE DRAINAt3E O DENOTES CRQN MONUMENT SEl' i DENOTEfi IRON MONUMENT FOUND XfNJO.a DENOTES EX1S1'i'NL3 ELEVATION (OOQ.O) CIENO7E5 PtOPO5EQ ELEVATIC)N NM= 9t1WiN6 DWE1J3tlfWyS ?SllaWl?t 111?E. ?1?OR OR?tS1l1? QNIY. ? ?P'OllMpATl?l ? SCALE:1 iNCH = 30 FEET PROPOSED OARAOE FE.OOR - ?! 9• S FEET PROPOSED L01NESY FLoOA -?', I(o FEET PR4POSED TOP OF BI.OCK -86 J. ? FEET WE HEREBY CERTIFY TO lV4R7HERN CLASSlC HOME3 7HAT THIS lR#WRAMD= REPRfSEN?'pl°1QN OF A SURVEY OF THE BOUNDARIES OF: Lot I I, Bivck 2, BLaCKHAWK RIDGE, according to the r themai, 13akota Gamty , Mlnnesota ' - - - - ? rT DOEiS Np7 PURPORT TO SHOw IMPROVEMEWTS OR ENCROACH , CEP SUfiVEY? D BY ME OR UNf)ER MY D1RECT SUP?VISION THIS 20 ."i7?` Cc AR4POSE0 GRA0E:4 SH[71MN MrERE TAKEN FROM "I! AlfAOM 0 OE'VELOPWNT PLAN FDR BLACKHANflf RfOOE, PRlPAREQ BY PIONE43t '[I'90. R. HILL., INC. ?- BY 10" ?..;. ....:...k .:, ,. - I ,1CfHN C. lARSDN, LAND SURVEYt7R M1NNESOTA EICEN$E NIMSM 18826 r? m wo ° '? ? ? o ? z ? O - ?z m Z ?? ? c i? ? James R. Hill, inc. PLAIV!NERS 1 EhIGiNEEFtS f SUR'VEYC3RS 2600 W. CTY. RD. 42 • 8k1RN8Yl'LM MM. 55337 • 812-690-6044 g-95% JAAd&S it 81LL IHC L i-08-92 42:45PM 1`002 #OB LOT BORVEY CBECRLIST FOR REBIDENTIAL BIIILDING PERMIT APPLICATIgly ? PROPERTY LEGAL• /,Z- zz Z ? Date of Burveys 0 ? ?OCIIMENT BTANDARDB ° 0 V 0 • Registered Land Surveyor signature and company C! VO ? • ? Building Permit Applicant V • Legal description D ? • Address 0 ? • North arrow and bar ecale - - 0 0 • House type (rambler, walkout, splft w/o, split entry, ? lookout, etc.) D 0 • Directional drainage arrows with slope/gradient $. 0 GY ? O • Proposed/existing sewer and water services [ D 0 • Street name td?0 0 • Oriveway RLEVATIONS Existina 13 ? • Sewer service 8'" 0 ? • Lot corners F? C1 0 • Top of curb at the driveway ?? 0 • Elevations of any existing adjacent homes Proposed 0 ? 0 • Garage floor fd' 0 0 • First floor ? ? ? • Lowest exgosecl elevation (walkout/window) C'Jr ? ? • Property corne rs ?0 ? • Front and rear of home at the foundation pOND=NG AREAB (i#_aiDolicable) D CY 0 • Easement line • NWL o 0" ? ? HWL 0 C3' 0 0? 0 • Pcnd # designation • Emergency Overflow Elevation DIMENBIONB 0'?0 0 • Lot lines B'''D 0 • Right-of-way and street width (to back of curb) I?'"[] 0 • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all C? structures requirinq permanent footings) 0 0 • Show all easements of record and any City utilities within those easements ? 0 D • Setbacks of proposed structure and setback of adjacent ?? existing homes ? • Retaining wall nts any - Rev iewed: ? Name - / Dat October 1992 r -? _ :. - - - --"--- - `-`! - • PHILLIPS PLAN SERVICE En i ERIOR c;IVEILOPt AYERAG;. ,?U" COMPUTATION OYJCtER SITE AODRESS iY ? 7 at,Ae ,e i44-?-J c.?v CQNTRACTOR 58-.r?t DATE P1:GNE ? Detprnine worrina square faotage of each. ? . I Otn1 exposzd waI l dl"23 . . ... I tO 5q. ft. X . j 2. Total raar"/cQi I i ng arQa ..... 13 4`? sq. f 14". x z . Total exposed wa71 area above `loor = 1 (4 H 0 a. Totai wall windcw aren3 ........................... I O I, Z b. Total daor are3 ................................. c. Total sliding g?ass door ar2a .................... 7 4 .' d. Total firnplacfl wa71 araa .. ? e. Total l0'v) ...:........ wall framing araa (average f. Total ne-IC wa71 ar:a above fioor ................. 111 , Z g. Total rim joist area ............................ } 5-z__ Total exposed foundation area = ?e)? « h. Total foundation windew are3..................... r,'? t. Toal net foundation area abcve arade ............ r7 /,c? E; Oetern-ine "ii" value of each wa11 segmnnt. a. 1 O ? liu,t _ ?, 1 ?A n . ? to X ,iull , I 34 = r7, c. ? 4 X liuii " ?... Z d X "U" ?.---- _ e. x l,u„ f. t ? ?q. Ct ? X ,tu,s 7 - X 9 • ? `J ? „u,t 104 h. X flull ? 5 !S X ,lutt I c 3 . .. ............ . .. . . I ?P.? .1 .L?. . .Total = I :.R I?d D If item #3 35 the same as, or les5 tnan item #1, you have met tne intent of SBC 6006(c)2. ' ? . , . Totai exposed rooflcei 1 i ng area = 0?? ?``? . Total gross roof/ceiling area 14 . ...... . j. Total skylight area ... ............. k. Tota1 roof/ceiling framing area ...........» 1 i. Tota7 net insv7ated roof/ceiling area....,.. 11 , Deter?nine "U" value for each roof/ceiling segment. ?. ._...?- x ltu,l ^•---_ _ ..... -?-°? k. X ,tU,: i. ! Z1??f F E.r xliutl 4 .................?,? y ?..........Total If total of #4 is the same as, ar less than #2, you have met the intent of SBC t;006(c)l. To uti3izQd the tota7 enveiape system tnethod, the values- established by the sum of items #3 and #4 shall not be greater than the sum af items #1 and 02. 1. 3. MATER.IALS Ext ericrr Air 5iding Material She at hing Tnsulation Shsetrock Interior Air Studs RiuL Cnnc. Blks. t 2. . ? t 4. Therm. Resistance "Et" ,0 's-S - 1, ?.. ? ?rt ? , ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P. I. N e o 10-14400-110-02 PERMIT --t? 3 -7 Q `+ C/ 413Hs- PERMIT TYPE: BUI L.DING Permit Number: 025101 Date Issued: 0 2 f13/ 9 5 1467 BLACKHRWK LAKE I]R LOT: 11 BLOCK: 2 BLACKHAWK RTDGE DESCRIPTION: . - . .,. .. . , ._.. .At , . . ? .?r REMARKS: FEE SUMMARY: Base Fee $30.00 5urcharge $_.50 Total Fee $30.50 CONTRACTOR: OWNER: - A p p.1 i can t - PE1"ER50N ALLEN 1467 BLACKHAWK LAKE DR EA6AN MN 55122 (612)686-6468 I hereby acknowledge that I have read this application and state that the information is carrect and agree tca crsmply with a11 applicable State af Mn. Statutes and City pf Eagan brdinances. APPLICANT/PERMIT SIGNATURE ISSUED Y: SI ATU E INSPECTI(JN RECORD CITY O F EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 025101 Eagan, Minnesota 55123 Date Issued: 9 2/ 13 /9 5 (612) 681-4675 SITE ADDRESS: LnT; 11 s Ln c K e 2 APPLICANT: 1467 BLflCKHAWK LAKE DR pETERSON ALLEN BLFICKHAWK RIDGE (612) 686-6468 PERMIT SUBTYPE: TYPE OF WORK: pECK NEW INSPECTION .. . . FOO7INGS FIMAL F- L ? 101 cmr oF EAGaN 3830 PILOT KNOB RD - 65122 1995 BUILDING PERMIT APPLICATION (RESIDENTI/4L) 681 -4675 Now Cnnstructien ReauMmnts ? 3 rogisbered site surveYs ? 2 oopka of plon ? 2 copies of plans (include beam & window akea; pourod fnd. deslgn; eta) ? 2 ske sunroys {extsrfor addition & dedm} ? 1 energy calculations ? 1 energy catadatlons tor neoW edd'dions ? 1 dse presenraUon plan if bt platbed after 711l93 mquired: _ Yes _ No DATE: CONSTRUCTION COST: EgT ??oa DESCRIPTION OF WORK: STREET ADDRESS: Dla-CeG, c. c,., ! LOT ? BLOCK ? SUBD./P.I.D. #: w PROPERTY Name: 2?zsaw .y/? ? PhOne #: ?Y?v9 ? OWNER uw Street Address'/4/47??..r'c v?-- Ciiy: /C-A c ct. h/ State: _W Al Zip• CONTRACTOR Company: Phone #: Street Address: Lroense ?- City: ARCHITECTI Company: phone #EN6INEER Name: Rsgistrafion #- S#reet Address- City: S'tate: Zip' Sewer 8 water ficensed piurrber: PenaNy appties when addr+ess change and lot dhange are requested onoe permit is issued. I hereby acknowfedge tha# 1 have read this application and sbde that the 'mlibrtnsfion is ocurW and agme to corrVly with e11 appticabfe State of Minnesota Statutes and City of Eagan Orclinanoes. Signature of Applicant: OFFICE USE ONLY Certiflcabes of Sunrey Received Yes No FE8 0 6 1995 Tree Preservation Plan Received Yes No OFFICE USE ONL.Y BUILDING PEFtMIT TYPE ? ?. ? ;??w;.' ft? `ti?.??? o 01 Foundation o 06 Duplex o 11 Apt.lLodging a 16 Basemen# Finish 0 02 SF Dweiling o 07 4-plex o 12 Muiti (Misc.) a 17 Swim Pool a 03 SF Addition o 08 8-piex o 13 GaregefAccessory o 20 PubNc Facil'ity a 04 SF Porch a 09 12-plex o 14 Fireplaae n 21 MisceNaneous 0 05 SF Misc. 0 10 Mulfi (additional),X 15 Deck WQRK TYPE X 31 New a 33 Aiterations o 36 Move ? 32 Addition o 34 Repair o 37 QemaNfion GENERAL INFORMATION Const (Actual) (Ailowable) UBC Occupancy Zoning # of Stories Length Depth Basemerrt sq. ft. AACMIS System Main le?rei sq. ft. City Water ? sel: ft. ? Fire Sprinlclered sq. R. PRV sq. it. ? Boosfier Pump sq. ft. Census Code. y1¢ FootpriM sq. 1t. SAC Code ? Census Bldg ? Cermus Unk o ._...,.?.._ , APPROVALS Pianning Building Enqineering Variarnrnx Permit Fee Valua#ion: $ /ZpO C Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permft S/W Sunhange TreatmeM Pl. Road Unit Park Ded. Treils Ded. • . Other Copies Total: % SAC SAC Units ?4'-O<? CFR1 14:43 ly:JH'C5 K 1'11LL IIVI. ICL IMJ:b1G Cf770"bG44 i{Y(t! 1"w ?y*? RV?YOR'S CERTIFICAT? NORTHERN CLQSSIC H?MES ? ? ?? -; `No [p.?Tt?N ph ?2 L_LJ ? d,g?i ' SO i ? • ?p..- I ? e?,z ?La g? ,?,?t toa'' %56e 16 r ? l..gGy1) ? , 9 -aR / /d' ??,?• . o S ? I ??•??' i V' a V?,?P'? BENCH MARK h e645 x e64.7 -'uEV=e65s? s ?? ? \ h 3 LOT ?4° e,6? e Is, ?? , 3O S+ i'.• ? ?• . .i b b ? ? ? U ? A67.6 x : :; ? Z, ?? • `???? . , u Q :? 0 (P p 3 1.?.._._. ,? . --- ? ' ao . . ?. Q 60.08 884.8 •' '. . . _?. -. ? •.; COO, ; . e644 ?29. 38 S_75° 28 199"W 16 74 i ? eENCH AIARK ,RM REQUI . ?r;p TOr OF PlPE ELEV.=888.18 M4 e7.s BL.ACKHAINK RIDGE COURT NOTE= NO VCF1C SOd,S INIIE3T13ATtON NAS Bm COMPl_ETED NOTE: BULpINti OWENSiONS SFIOMM ARE oK n+is Uar eY THE suRKYOS. TiKSUITAiL117 OF fOR ilOfN20NfAL ay???. ?! 1?0 iUPIbItT* THE lrEIdFK HO« r11D?D 13 NTqN OF SrRUCTI? OMLY. WT T!E lNWONa1MLITY OF THE s1lRVE1P01t. ARC1111EiTUAL rLAM MI! a11tDIN0 0 ?N?ITION QiillrllON?. • DENOTES PAOPOSED SURFACE DRAINAOE O DEMOTES IRON MQNUMENT SET SCALE:1 INCH - 30 fEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAC3E FLOOR - 8G 9• 3 FEET XO00.0 DENOTES EXISI'iNG ELEVATION PROPOSED LOWEST FLOOR -C 1•( . F'EET (000.0) DENOTES PAOPOSE'D ELEIIATION PROPOSED TOP OF BLOCK -BG ?7 FEET WE HEREBY CERTIFY TO NOR7FERN CLAS5IC HOME S TNAT THIS !? ? REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 11 , 8txk 2, BI.ACKHAWK RIOOE, occordinq to the r thanol, Dakoto Couniy , Minnssota , J IT DOES NOT PURPORT TO SHOW IMPROYEMENTS OR ENCROA SURVEIrED 8Y ME OR UNDER MY DtRECT SV"VISION THIS 20 TAKEN?F110M NE? 10 NNB ?RE nEVELOMWNT PLAN FpR OLACK HANIK RtI)@E, PIIEPIIRED SY PIONEEM! CNO. EA_ - '-"*A IN R. NILL. INC. ?- BY ? JOHN C. UtRSON, LAND SUqVEYOR MINNE90TA LICENSE NLIMBEii 19828 ? ?.?., ?:.i G ? ° m No 0 01 ? ? ? IV > _ 0 x ? Zo Z n' O ? ? O rn James R. Hill, inc. PLANNERS / ENQINEERS 1 SURVEYORS 2600 w. cn. Ao. 42 • BtlRNSYNM MN. 55337 • 812-890-6044 R-95% JAMES 8 HILL INC 11-06-92 02:45P1[ P002 #06 r f?:?????l?:,;: ? >;;<.;::: ?::?::-.?:.:;;:,............. ?.: CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-$100 FOR CITY OSE ONLY PERMIT # RECEIPT # /U r DATE : ?? 1F 9 ` PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT. ------------------------------------------------------------------- WORK DESCRIPTION NEW CONST ADD ON REPAIR OWNER NAME : SITE ADDRESS: LOT : ?. BLOCK ?_/ SUBD. INSTALLER: ADDRESS: CITY: ,??1 ZIP: ?'4Y7 PHONE #: SIGNAT 7E OF P'ERMITTEE SUBTOTAL $ ?S °C ST. SURCHARGE .50 TOTAL : $ ?? . SZ PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT, CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FEES 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE TOTAL: $ $ (SIGNATURE) COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 ? SHOWER 3.00 G.? ? WATER CLOSET 3.00 .o d ? BATH TUB 3.00 -3-°6 ? LAVATORY 3.00 9 od ? KITCHEN SINK 3.00 3.ov ? LAUNDRY TRAY 3.00 3.e6 HOT TUB/SPA 3.00 ? WATER HEATER 3.00 3"od ? FLOOR DRAIN 3.00 Z.&v ? GAS PIPING OUT. _ (MINIMUM - 1) 3.00 ?• °'v ROUGH OPENINGS 1.50 _ OTHER WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 FOR: CITY OF EAGAN ?. . crrY oF EAGa1v L // B ? ? MECHANICAL PERNIIT 5UBD. ' ?:; (612) 681-4675 RESIDEIVI'IAL xEECElff # C oai 'y68 DATE `Z /rz.?, ? ? ? PLFASE COMPLM UPPER PORTION ONLY FOR SINGLE FAMII.Y DWEI.LIlNGS. ALSO, COMPLETE FOR TOR'NHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DVVELLING UNIT. OnNL'lli l'LLiY7 STfE ADDRESS: ADD ON/REMODEL (EIIISTING CONSTRUCTION ONM $ 15.00 INSTALLER: HVAC: 0-100 M BTU 24. PHONE #: ? ADDITIONAL SO M BTU 6.00 ADDRESS: ? GAS OUTLETS -NE04EMUM 1@ $3 EA. o<-' CITY: ZIP: SURCSARGE $ .50 SIGNA ' y ? TOTAL: $"" n "5z) COMMERCIAL PLEASE COMPLEfE TSIS PORTION FOR ALL COMMERCIAIJINDUST'RIAL BUILDINGS. ALSO COMPLEfE FOR APARTMENT BUII.DINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERNDTS ARE NOT REQUIRED FOR EACH DWELLING UNTT. I WORK DFSCRIPTION: CONTRACT PRICE: I FEES 1% OF CONTRACf FEE. STATE SURCAARGE IS $.SO FOR EACH $1,000 OF PERMIT FF.E. $ SI ? CLAit1 VOflC11ER - REFUt3D REQl1F.S7 CITY OF FAGAti CLA1!lANT SKY ELECTRIC INC. ADDRESS 1 1210 WASHBURN Pi'VENUE SOUT BLOOMINGTON, MN 55431 I.ocation 1467 BLA,r,KHAWK LAKE DRIVE ' LI1, B2, BLACKHAWK RIDGE Receipt T7o./Date 10855 1 /1 1-] 4-92' Reason !cr Refund BUIZDER HIRED A DIFFERENT ELECTRICIAN 71pe of Refund Electricnl Fermit 01-3211 $ 106.00 T].umbfng Fermit 0I-3212 $ Tteehaiiical Termit 01-3213 S SurciinrqP 01--2155 $ Watpr Connec.tlnn !'ermtt 20-3713 S E Sewer Crnnvcti?nn Fermit 20-3743 ?$ Account bepasit 20-2252 . Utility Accotmt over-Fnyment 20-2250 [1Etiert TDTAL ? S S $ ]06.00 1 dec]arA vnder Ehe rpnnltieG of law that this accc+unt, tlaim Qr demand is jvst and titnt no rart of it s been nnicl. ? 12/!8/q2 gnature Date City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 9 -2-1 ' 1 1 Site Address: <'\ lol `ECAC p C Unit #: Resident/ Owner Type of Work Contractor Name: `LV e S° Phone: l05 6Tto V-t(oE Address / City / Zip: Applicant is: Owner Contractor Description of work: 'i c — 7C (Y Construction Cost: Multi -Family Building: (Yes / No ) company:7— L -i' C c --y\-- es_C- r \\ Contact: a_1\r\ Address: \.6-1S TC) A D / V & City: fiSP '-C3 State: d Zip: S ( C€ 2 Phone: 2k.2- Le4Y License #: `J C t-( \ L,\ Lead Certificate #: -T - \ S (S - C3 " csO 1 sic If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 '� ,,4e\s, Appli ants Signature days of p mit issuance. 4k Applicant s' iri'-`. l Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159154 Date Issued:11/25/2019 Permit Category:ePermit Site Address: 1467 Blackhawk Lake Dr Lot:11 Block: 2 Addition: Blackhawk Ridge PID:10-14400-02-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Allen D Peterson 1467 Blackhawk Lake Dr Eagan MN 55123 (651) 686-6468 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature